AGENCY

RECORD NUMBER
RECORDS SERIES
AGENCY FILE NUMBER

ORIGINATOR
FROM

TO

TITLE

DATE

PAGES
SUBJECTS

DOCUMENT TYPE
CLASSIFICATION
RESTRICTIONS
CURRENT STATUS

DATE OF LAST REVIEW
OPENING CRITERIA
COMMENTS

JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM
AGENCY INFORMATION

INSCOM/CSF
194-10004-10406

DOD-AFFILIATED PERSONNEL INCIDENT

PAGE 74

DOCUMENT INFORMATION
USA
CG, FT JACKSON sc
[ RESTRICTED ]
06/05/68
MARTI, MANUEL
RESIDENCES
EMPLOYMENT
CIVILIAN SCHOOL
FBI INVESTIGATIVE FILES CHECK
RELATIVES
PAPER, TEXTUAL DOCUMENT
UNCLASSIFIED
3

RELEASED WITH DELETIONS
03/07/95

O

Date : 01/14/98
Page : 1

INCLOSURES NOT INCLUDED. PAGE 74 REGRADED UNCLASSIFIED
WHEN SEPARATED FROM CLASSIFIED INCLOSURES.

NW 88613 Docid:345292277 Page 1

|

: ron tA ll

-

: a DEPART MENS or SEF ENSe (art -
c Ac>NATIONAL AGENCY CHECK REQUEST 0-9 - >

1. LAST NAME> FIRST NAME - MIDOLE NAg pie een

BEQUEST DATE

AYO
“JUN 1968 ~

Bs

MARTI, -Manuel «a

3. ALIAS(ES) AND ALL,FORMER NAME(S)

None
6. PLACE OF BIRTH

» San Juan, PLR.

SECURITY NUMBER

693-36-4601

7. SERVICE NUMBER !
{352773870 |

SECURITY PROGRAM } \

Ue

Pi |
in &

Log] mititary

[J crvivian

RESULTS ATIN«: AJIGE os (1) tnoustriat
"TO: ft, GACKSON,, B.0. 29207 |

} (Include ZIP

Code) |

| LOCAL FILES CHECKED
WITH FAVORABLE RESULTS

Cc. INITIATOR OF REQUEST

O3/0 |
a. FATHER 10Aug10 1201 University Ave. |
MARTI, Manuel Utaado, P.R. Bronx, NY US |
b. MOTHER (Full Maiden Name) 6Janl5 ~~
BADILLO, REYES San Juan, P.R. Deceased US |
@ SPOUSE (Full Maiden Name) .
| None |
13. RESIDENCES (List all from 18th birthday or during past 15 years, whichever is shorter. If under 18, list present and most recent addresses.)
c NUMBER AND STREET d. city @ STATE
905 B. 167 St. Bronx NY ;
1201 University Ave. !f response to penrorequast NY Os

On post residence there are

c. EMPLOYER
Polly Perry Inc. |
Mutual Ins. Advisery A

US ARMY.

Manhattan, NY
Manhattan, NY

CG NAME

Bronx Comm.Clg.

: {
16. ("Yes” answers must be explained in Item 18, below.) . prints lage necessary ARE mBogiive cneck, .
a, Is the subject an alien or naturalized citizen? b. REASON

6. Has the subject any foreign connections, employment or military service? x [army [| E: BASIC TRAINEE
| | PRE-COMMISSION |

NUCLEAR

4

18, REMARKS (If additional space is needed, continue on plain paper.)

l6e-Ist term inductee

4

DD 2.1584

‘REPLACES DA FORM 3027, 1 AUG 65, WHICH IS OBSOLETE.

. 4
A 2 - a ae eee a eee

NW 88613 Docid:34529277 Page 2

